NPI | 1114675253 |
---|---|
Doing Business As | PLUM PEDIATRICS |
Entity Type | Organization |
Authorized Contact | AMANDA JO HUGHES Nurse Practitioner 432-288-8482 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
363LP0200X Nurse Practitioner, Pediatrics | |
Enumeration Date | 2022-03-17 |
Last Update Date | 2022-07-15 |